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Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
Promoting Sustainable Telehealth Services
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Promoting Sustainable Telehealth Services

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New Zealand Telehealth Forum

New Zealand Telehealth Forum

Published in: Health & Medicine
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  • 1. Promoting sustainable telehealth services ... a Call to Arms Telehealth Symposium Workshop 22 Feb 2012
  • 2. Workshop Outline ... • Terms of Reference (ToR) • Current activity • Action plan & discussion 2
  • 3. ToR – Why NZTFWe are a clinically focused group seeking to make a difference by: • Promoting the use of telehealth as a powerful enabler of change in healthcare delivery • Ensuring that telehealth is on the agenda for national & regional strategies, and, most importantly... • Instigating, supporting & participating in trailblazing telehealth deployments 3
  • 4. ToR - Scope… Telemedicine (interactive / store &eHealth forward) Telehealth Telemonitoring mHealth Telecare Help Lines (alarms) Interactive Portals Robotics Scope for NZ Telehealth Forum 4
  • 5. ToR - Structure Chair (TBA) Telehealth Leadership Group Advice and “Doing” Executive (interim) Strategy, Decision Making, Commercial Operations Centre Secretariat Communications Consulting 5
  • 6. Telehealth supports NHITB’s integrated care initiatives Telehealth touchpoints & enablers Patient Vitals Shared E-events Care Care Plans Decision SupportPhase 2 (5 years)Phase 1 (2 years) Clinical Data Repository Medicine Reconciliation GP2GP Referral Primary - Secondary Continuum of Care Community - Tertiary National Discharge Speciality ePrescribing Systems Clinical content is needed for effective Telehealth 6
  • 7. Current activity A broad range across both islands: • Established services • Emerging services • Pilots • Randomised control trials 7
  • 8. Telemedicine in NZ – store & forward Teleradiology imaging and diagnosis - public and private, incl. support for rural centres & out of hours Teledermoscopy imaging and diagnosis • public-private collaboration (Molemap NZ & Waikato DHB) for Virtual Lesion Clinics • private (Molemap)Source: Molemap NZ 8
  • 9. Telemedicine in NZ – Videoconferencing MoH & DHBs education and admin meetings Northland DHB Telerenal clinics - Whangarei to BoI, Kaitaia and ADHB radiology Waikato DHB Teledermatology clinics – Hamilton to Taranaki DHB pts Canterbury DHB to West Coast Outpatient clinics - paediatrics, oncology, etc. West Coast DHB Outpatient clinics Greymouth to Westport - gen’l surgery, methadone, nutrition, speech therapy etc Most activity on the Vivid Solutions Network (Telepaeds) 9
  • 10. Telemedicine in NZ - Videoconferencing Mental Health Network training, meetings, court proceedings (Waitemata, Northland, South Island) Source: Polycom Multidisciplinary Meetings (MDMs) regional cancer networks* and others - multi-point VCs for case management involving specialists (radiologists, pathologists, surgeons, clinical nurse specialists, physicians) Mobile Surgical Services (MSS) mobile operating theatre, virtual Source: MSS assistance, rural teaching *planned for 1-2Q 2012 10
  • 11. Telemonitoring* in NZ Most trials are for patients with COPD/CVD: Completed • ADHBSource: One News • Taupo / Turangi • St John / Hawkes Bay PHO In progress • Univ. of Akld – ASSET (ADHB, Counties, Tairawhiti / Ngati Porou) • Eastern Bay of Plenty * aka “telehealth” 11
  • 12. mHealth in NZe.g. University of Auckland • STOMPSmoking Cessation trials • STUB IT (young people) 12
  • 13. Interactive Portals in NZ www.depression.org.nz 13
  • 14. Other Telehealth in NZ Telecare - Medical Alarms 30+ approved providers – St John is the largest Helplines Ministry of Health Healthline 24/7 advice (with St John), Quitline, Gambling, Plunket, et al Robotics U of Auckland Trial Selwyn Village – monitoring of falls and medication remindersSource: St John 14
  • 15. Action Plan • Strategic imperatives • Priorities • Workstreams • Timeline • Working groups 15
  • 16. Strategic Imperatives • Position telehealth as an enabler of core clinical practice strategies • Leverage the existing evidence base (and develop more where needed) • Gain clinical buy-in through education (at all levels) • Elevate on regional and national agendas • Move from pilots and local services to broad deployments • Coordinate nationally and regionally, but encourage local innovation 16
  • 17. What are the Forum’s Priorities? • Support for – small hospitals and integrated care centres – in home monitoring – better quality videoconferencing for clinicians and clinical networks • Standards for telehealth services 17
  • 18. Workstreams • Operations Centre including Secretariat, communications, consulting, financial sustainability • Strategic Imperatives addressing the barriers and enablers • Projects sector strategies, implementations, evaluations 18
  • 19. Work Programme Operations Strategic Imperatives Project Centre Developing the enablers opportunities• Secretariat (TLG Working Groups • MDMs (in progress) support) Sector participation • Small hospitals• Reporting • Standards & Guidelines • Regional strategies• Comms • Others, tba • Home monitoring (including website) • Teleradiology • Teledermatology, etc. 19
  • 20. Working Groups Standards & guidelines • Technical standards, e.g. National Connected Health • Practice guidelines, e.g.  Outpatient services via VC  Home monitoring • Recommended configurations Needs to be scoped Will collaborate with HISO 20
  • 21. Standards – Connected HealthRequirement for VC Standards in Tiers 2 and 3 21
  • 22. Working Groups – what else? • What is holding us back? • Policy • Funding • Technology • Clinical attitudes / medico legal • Reimbursement • What can we do that will make a difference? • How could we structure this? Subject matter based and / or geographic? 22
  • 23. What’s next?Survey:• Ideas and / or commitment to participate• Outcome to be tabled with TLGWe’ll be in touch!! 23
  • 24. For more information visit:http://www.ithealthboard.health.nz/content/new-zealand-telehealth-forumContact:Principal Consultant Pat Kerr pat @telehealthnz.co.nzInterim Chair Malcolm Pollock m.pollock@auckland.ac.nzProject Co-ordinator Terri Hawke t.hawke@auckland.ac.nz

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